Individual provider Active NPI

Renee Ames

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1366623712
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002308E Issued in PA
Practice address
11203 Delaire Landing Rd
Philadelphia, PA 19114-5128
Phone
(860) 919-9645
NPI assigned
Nov 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT002308E PA Primary

Addresses

Primary practice location

11203 Delaire Landing Rd
Philadelphia, PA 19114-5128

Mailing address

11203 Delaire Landing Rd
Philadelphia, PA 19114-5128
Phone (860) 919-9645

Other practice location 1

32304 Delaire Landing Rd
Phila, PA 19114-5237
Phone (860) 919-9645

Other practice location 2

32 Sunset Dr
Paoli, PA 19301-1719
Phone (860) 919-9645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT002308EPAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366623712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 DELAIRE LANDING RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191145128",
            "telephone_number": "860-919-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11203 DELAIRE LANDING RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191145128",
            "telephone_number": "860-919-9645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32304 Delaire Landing Rd",
            "address_purpose": "LOCATION",
            "city": "Phila",
            "state": "PA",
            "postal_code": "191145237",
            "country_code": "US",
            "telephone_number": "860-919-9645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011719",
            "country_code": "US",
            "telephone_number": "860-919-9645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMES",
        "first_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002308E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.